Table 1.
Differential diagnosis of spontaneous intraperitoneal hemorrhage
| Organ system | Differential diagnosis |
|---|---|
| Gynecological | Ectopic pregnancy |
| Ruptured ovarian cyst | |
| Uterine leiomyoma/leiomyosarcoma | |
| Ovarian granulosa cell tumor | |
| Ruptured corpus leuteum cyst | |
| Hyperemesis gravidarum | |
| Endometriosis | |
| Spontaneous uterine rupture | |
| Splenic | Chronic myelomonocytic leukemia |
| Infectious mononucleosis | |
| Spontaneous splenic rupture | |
| Iatrogentic | |
| Spontaneous rupture of splenic vein | |
| Torsion and rupture of wandering spleen | |
| Hamartoma | |
| Primary splenic angiosarcoma | |
| Hepatic | Peliosis hepaticus |
| Hepatic adenoma/adenomatosis | |
| Hepatocellular carcinoma | |
| Hemangioma | |
| Primary hepatic angiosarcoma | |
| Metastatic cancer | |
| Amyloid | |
| Focal nodular hyperplasia | |
| Biliary | Ruptured cholangiocarcinoma |
| Transhepatic rupture of gallbladder | |
| Vascular | Ruptured cystic artery pseudoaneurysm |
| Ruptured splenic artery aneurysm | |
| Segmental mediolytic arteriopathy | |
| Gastric | Mixed cavernous-capillary hemangioma |
| GIST | |
| Colonic | Meckel’s diverticulitis |
| GIST | |
| Pancreatic | Ruptured pseudocyst |
| Miscellaneous | Ruptured benign solitary fibrous tumor |